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<br />I r <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />(~flt{t <br /> <br />, !1 /05' <br /> <br />DATE RECEIVED <br /> <br />/ //--S;~5 <br />7~D- f)'f // <br /> <br />PHONE CONTACT FOR PERMITTING ,>{ 15 <br /> <br /> <br />PHONE 'X (:3 7g <1 - g 17 J <br /> <br />OWNER'S <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRI PT ION: LOT (S) 7 ())( / () BLOCK <br />PARCEL ID # dJ/--.;(5-:xj-O()CjtJ-DDODO-t16rto <br /> <br />SUBDIVISION~A~ M--rrJ <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCT'ION <br /> <br />~DDITION <br /> <br />o ALTERATION <br /> <br />D REPAIR <br /> <br />o INSTALL <br /> <br />D SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ,~~~5-~ ~ ,~ <br />BUILDING SIZE ,/1-,.X I ~ " SQUARE FOOTAGE c::? ~ f <br /> <br />HEIGHT <br /> <br />" ,,,. <br />71L <br />, <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SET$ OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY'REQUIRED FOR ALL NEW CONSTRUCTIO <br /> <br />$ . <br /> <br /> <br />OVALUATION OF TOTAL CONSTR <br /> <br /> <br />~UILDING <br /> <br />"?~. ~ PERMITS REQUESTED <br />c:>( U!f ./ 0" tJ <br /> <br />o ELECTRICAL <br /> <br />1 AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALT'i <br /> <br />o OTHER <br />~RAME <br /> <br />o STEEL <br /> <br />~THER <br /> <br />~ <br />~O <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />'It) F <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br /> <br />SIGNATURE <br /> <br />61J'fP c{j~) <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />*****************1************************************************* <br />1 <br />i <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br />i <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br /> <br />**************** ************************************************ <br /> <br />OTHER COMPANY <br /> <br />SIGNATURE STATE CERT OR REGIST # <br />